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ST0001-LR020716Rone 8908 Ambassador Ro~ Dallas, Texas 75247 (214) 63O-9745 · 121 North Rayner Fort Worth, Texas 76111 (817) 831-6211 Client: Project: Contractor: Density: ASTM D-2922 Moisture: ASTM D-3017 Density Standard Counts Current: Density Standard Counts Previous: Test Mode (DT / BS): M/D Test No.: of 2 In-Place DenSity Service Order Report No.: Project No.: Date of Service: Page I of Requirements: ~ C 9,9 Gauge Manuf. & Model: Troxler ,~ 4' ~r. Gauge Serial No.: ~ ¢ c~o Moisture Standard Counts Current: ~ q Moisture Standard Counts Previous: ~ ~ Probe Depth: 0, 2, 4,{~ 8, 10, 12 Moisture / Densi ,ty Relations Report Material Description Test Test No. Location Remarks: Number DensitY Test Results In-Place M/D Moisture No. MC Content DC Optimum Maximum Moisture Density Density Percent pcf Com, paction % dry % lbs . , Wet !' % a, % lbs wet dr~ % % lbs w~t % dry % lbs wet % dry % lbs wet o~ d~ % lb~ wet °)o dP/ % Time Start: Stop:. Contractor Notified of Results (Y / N)? 8908 Ambassador Row 121 North Rayner Dallas, Texas 75247 Fort Worth, Texas 76111 (214) 630-9745 (817) 831-6211 Client: Project: Contractor: In-Place Density Service Order Report No.: Project No.: Date of Page Density: ASTM D-2922 Moisture: ASTM D-3017 Density Standard Counts Current: Density Standard Counts Previous: Test Mode (DT / BS): ~'? i MiT) Test No.: of Test Test No. Loc_a. tinn Requirements Gauge Manuf. & Model: Troxler Gauge Serial No.: /'~ ~ f ~ Moisture Standard Counts Current: Moisture Standard Counts Previous: Probe Depth: L~ 2, 4, ~ 8, 10, Moisture / Densi~ Relations Report Material 0pfimma Ma,ximt~m Number Description Moisture Density .. l,~.ct..%Z /~ C' ..-.,-'t /~ ~ /,~. C~ In-Place De,si~, Test Results M/D Moisture Density No. MC Content DC pcf Compaction t~.~/ lbs ~0 xwt ~0 '~ lbs t~.t C' wet lbs wet % dry % ~' lbs % dry lbs wet % lbs dry % wet dry % Remarks: Technician: ~-~,c e ~ .,,-q.,.- Client Rep.: Time Start: Stop: Contractor Notifiod of Results (Y / N)?